Individual
ELIZABETH R BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-1809
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11419
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/06/2013
Last updated
03/09/2021
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